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Glossary Scalp Expansion

surgical technique to stretch scalp skin for hair restoration

Scalp expansion is a surgical technique used primarily in hair restoration and reconstructive procedures. It involves the insertion of a balloon-like device under the scalp, which is gradually inflated over time to stretch the skin. This creates additional scalp tissue that can be used to cover areas of hair loss or to repair defects.

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Research

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research Long-Term Multimodal Reconstruction of Extensive Post-Burn Scalp Alopecia Using Tissue Expansion and Follicular Unit Extraction: A 10-Year Follow-Up Case Report

January 2026 in “International Society of Hair Restoration Surgery”

In this case study, a 35-year-old male with severe burn-related scalp injuries underwent successful reconstruction through tissue expansion, skin grafts, and multiple hair transplant sessions, resulting in satisfactory aesthetic and functional recovery.

research Chronic Skull Osteomyelitis following Skin Graft: A Case Report and Literature Review

September 2016 in “Archives of Pediatric Infectious Diseases”

This case study reports that chronic skull base osteomyelitis should be considered a serious complication in patients with a history of cranial trauma or scalp procedures, despite its rarity.

research Skin Graft Harvesting and Donor Site Selection

3 citations , August 2011 in “InTech eBooks”

This article discusses the applications and contraindications of skin grafts in wound treatment and reports no new research findings.

research Surgical treatment of secondary cicatricial alopecia of scalp and eyebrow

4 citations , January 2009 in “Indian Journal of Plastic Surgery”

This study observed that good surgical outcomes for secondary cicatricial alopecia were achieved in 18 patients, with method selection influenced by the size, location, and shape of alopecia.

research Commentary: Hair Transplantation for Reconstruction of Scalp Defects using Artificial Dermis

5 citations , August 2011 in “Dermatologic Surgery”

Artificial dermis used for hair transplantation can reconstruct scalp defects effectively without the need for tissue expansion.

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Community Join

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community New Research- Creatine Increasing Scalp DHT Without Corresponding Serum DHT Increase

121 upvotes 2 years ago

Creatine may increase scalp DHT without affecting serum DHT, potentially speeding up male pattern baldness (MPB) for those genetically prone. Treatments mentioned include Minoxidil, finasteride, and RU58841.

community How long should you take fin/dut for, before getting a transplant?

in Finasteride/Dutasteride 14 upvotes 2 years ago

The user started taking dutasteride a month ago and is seeking advice on whether to wait for a year before getting a hair transplant, as it could potentially strengthen the donor-zone and require fewer grafts, or to get a transplant immediately, extracting only the "strong hairs" not affected by dutasteride. The user is unsure which approach is correct.

community Sugar and Hair loss connections

in Research/Science 41 upvotes 1 year ago

High sugar diets may worsen hair loss by increasing 5α-reductase activity and androgen levels, especially in women with PCOS. A low sugar diet might reduce scalp DHT levels, similar to finasteride, but genetics also significantly influence hair loss.

community Who else is looking forward to full phase 2 results of PP405?

in Chat 59 upvotes 7 months ago

PP405 is a potential hair loss treatment showing promise, especially for men with severe balding. Some are hopeful it will be a game-changer for those who cannot tolerate finasteride or minoxidil, despite skepticism about the outcomes.

community July 2024 to July 2025: No improvement (finasteride + dutasteride)

in Progress Pictures 68 upvotes 1 year ago

The user saw no hair regrowth after a year of using finasteride and dutasteride, only maintaining their current hair. Many recommend adding minoxidil for potential regrowth.

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Clinics

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79
Hair Systems
J. Smith Extension Studio & Scalp SpaMeridian, ID · US

Experts

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Trichologist
Kirsten J. Scalp
Greenville, SC, United States

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Kirsten J. Scalp